Individual
ADAM LEE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-6552
Mailing address
303 MAIN ST, APT. 317, HEMPSTEAD, NY 11550-1427
(724) 407-8344
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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